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Severely and Persistently Mentally Ill Patients in Italy: an Overview of Epidemiological and Psychosocial Findings

Author

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  • F. Veltro

    (Psychiatric Institute, First Medical School, University of Naples)

  • L. Magliano

    (Psychiatric Institute, First Medical School, University of Naples)

  • S. Lobrace

    (Psychiatric Institute, First Medical School, University of Naples)

  • P.L. Morosini

    (Istituto Superiore di Sanita', Roma)

Abstract

The aim of this paper is to provide an overview of epidemiological, clinical and psychosocial characteristics of patients needing long-term treatment. The data concerned the following aspects: prevalence and incidence from the five best-established Italian psychiatric case registers; needs for care; psychosocial and clinical outcome as assessed by means of follow-up studies; social disability and relatives' perceived burden. The one-year prevalence rate of "long-term users" is consistent in Northern Italy, higher in Middle Italy and lower in Southern Italy. The incidence rate was found to be around 4 per 100,000. Even in a community oriented mental health service, users' needs for care are only partially met. A good psychosocial outcome was found associated with the use of social and/or vocational skills training, while the average number of days per year of hospitalisation in a psychiatric department was found associated with poor outcome. A moderate degree of social disability was found among patients needing long-term treatment. The resulting family burden presented to a marked or very marked degree in more than 50% of the relatives.

Suggested Citation

  • F. Veltro & L. Magliano & S. Lobrace & P.L. Morosini, 1993. "Severely and Persistently Mentally Ill Patients in Italy: an Overview of Epidemiological and Psychosocial Findings," International Journal of Social Psychiatry, , vol. 39(4), pages 285-302, December.
    • Handle: RePEc:sae:socpsy:v:39:y:1993:i:4:p:285-302
    DOI: 10.1177/002076409303900405
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    Cited by:

    1. Stefano Marino & Lucilla Frattura & Luigi Fabrizio De Luca & Michele De Francesco & Marco Olivieri & Benedetto Saraceno, 1996. "The Provision of Psychiatric Care in Southern Italy. Results From the 'Psychiatry in Southern Italy's Services' (De Pisis) Survey," International Journal of Social Psychiatry, , vol. 42(3), pages 181-192, September.

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